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Search › Arizona › 363LF0000X

Charles Blake, FNP-BC

NPI 1972666154 · on the registry since 2006

Practice

Address
17215 N 72nd Dr Bldg D
Glendale, AZ 85308
Phone
(480) 214-9000
Fax
(480) 214-9999
Organisation at this address
Enticare Pc
Souza Dds Llc
Kellie M Gray Pc
Bodyz En Motion, Llc
Houshang Semino Mdpc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona